Individual
KATHALINE TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W ARROW HWY STE 130, SAN DIMAS, CA 91773-2330
(909) 222-2745
Mailing address
1301 W ARROW HWY STE 130, SAN DIMAS, CA 91773-2330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18181
CA
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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